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CERTIFICATE OF LIABILITY INSURANCE (633)ACORDTM Client #: 137132 14ENERCONSER CERTIFICATE OF LIABILITY INSURANCE IDATE (MM /DD/YYYY) 6/24/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER J. Smith Lanier & Co.- Atlanta 11330 Lakefield Drive Bldg 1, Suite 100 Duluth, GA 30097 INSURED CONTACT NAME: PHONE (A/C, No, Ext): 770 476 -1770 E -MAIL ADDRESS: (NCC, No); 770 476 -3651 INSURER(S) AFFORDING COVERAGE INSURER A : AIG Specialty Insurance Co. NAIC # Enercon Services, Inc. 500 Town Park Lane Ste. 275 Kennesaw, GA 30144 COVERAGES CERTIFICATE NUMBER: THIS IS TO CERTIFY TH INSURER B : Twin City Fire Insurance Co. 26883 29459 INSURER C : Markel Insurance Company 38970 INSURER D : Hartford Fire Insurance Co. 19682 INSURER E : INSURER F : REVISION NUMBER: INDICATED. CERTIFICATE EXCLUSIONS INSR NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OFtANY CONTRACT OR HOTHER DOCUMENT WITH RESPECT TO WHICH HETHIS MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY POLICY EFF POLICY EXP (MM /DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY 24204154 07/0 1/2015 07/01/2016 EACH OCCURRENCE $1,000,000 $ 300,000 $25,000 CLAIMS-MADE X OCCUR PREMISES (Ea oecur ence) X BI /PD Ded:10,000 MED EXP (Any one person) PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES X PER: PRO- POLICY I I JECT I LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OPAGG $2,000,000 $ D AUTOMOBILE X X LIABILITY 20UENJW9053 07/01/201 "5 07/01/2016 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS N AUTON O-S OWNED BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ A — XI UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE PROU24204393 07/01/2015 07/01/2016 EACH OCCURRENCE $11,000,000 $11,000,000 $ AGGREGATE DED X RETENTION s$0 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N N / A 20WEAE9351 07/01/2015 07/01/2016 STATUTE X ERH OFFICERR/MEMBER EXCLUDED XECUTIVE N E.L. EACH ACCIDENT $1,000,000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - EA EMPLOYEE $1,000,000 $1,000,000 E.L. DISEASE - POLICY LIMIT C A Professional Liab Professional Liab Pollution Liab 15EOSE20001 15EOSE20001 24204154 07/01/2015 07/01/2015 07/01/2015 07/01/2016 07/01/2016 07/01/2016 $10,000,000 Each Claim $10,000,000 Aggregate $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is included as additional insured as per written contract but only with respects to the general liability insurance and subject to the provisions and limitations of the policy. Waiver of Subrogation applies to general laiblity as per written contract and subject to the provisions and limitations of the policy. CERTIFICATE HOLDER CANCELLATION City of Clearwater Attn: City Clerk PO Box 4748 Clearwater, FL 33758 ACORD 25 (2014/01) 1 of 1 #S26815351M2680886 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 19 8- 014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KVB